Form ems transfer care 2026

1. Click ‘Get Form’ to open the EMS Transfer of Care Form in the editor.
2. Begin by entering the Patient Name, Date of Birth, Age, and Date of EMS Incident. This information is crucial for identifying the patient and linking the form to hospital records.
3. In the Chief Complaint section, provide a brief summary of the patient's primary complaint along with pertinent symptoms or history related to the incident.
4. Document the Time/Date of Symptom Onset, especially for critical conditions like STEMI or stroke. This helps in timely medical interventions.
5. List any Allergies in the designated space. If necessary, continue on a separate page if more space is required.
6. Record Pertinent Physical Exam Findings and any Medications administered during transport. Ensure all medications are documented accurately.
7. Fill in Vital Signs including pulse, respiration rate, blood pressure, glucose levels, and mental status indicators.
8. Complete sections for EMS ECG/12-lead ECG details and document any treatments or medications provided during transport.
9. Finally, fill out the Transfer of Care section with details about the receiving facility and obtain signatures from both transferring and receiving providers.

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